Khyati Pravin Mehta

MD | Pediatric Gastroenterology | Female

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Complete Profile:

Khyati Pravin Mehta basic information including her official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics Pediatric Gastroenterology
Provider Name :	Khyati Pravin Mehta
Credential :	MD
Gender :	Female

Business Address:

Khyati Pravin Mehta address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	25845 Barton Rd Ste 101 Loma Linda, CA, 92354-5300 United States
Phone Number :	909-558-3904
Fax Number :	909-558-3906

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1558490912
NPI Entity Type :	Individual
First Enrolment Date :	03 Mar, 2007
Last Updated On :	02 Dec, 2019

Medicare Participation:

Khyati Pravin Mehta participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	2668622945
Medicare Enrollment ID :	I20161026001115
Primary Specialty :	Pediatric Medicine
Medical School :	Other
Graduation Year :	2002
Accepts Medicare?	Yes. Khyati Pravin Mehta accepts medicare insurance.

Group Practice Association:

Khyati Pravin Mehta is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Khyati Pravin Mehta is associated with along with the number of members in that group. She may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
Faculty Physicians And Surgeons Of Llusm	1153227814	1049	11370 Anderson St Loma Linda, CA - 923543450	Yes
Faculty Physicians And Surgeons Of Llusm	1153227814	1049	250 E Caroline St Suite J San Bernardino, CA - 924083758 Ph: 9095586388	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Khyati Pravin Mehta are as mentioned. Primary taxonomy code for Khyati Pravin Mehta, MD is 2080P0206X (Pediatrics Pediatric Gastroenterology).

Taxonomy Code	Speciality	Primary	License No.	State
2080P0206X	Pediatrics Pediatric Gastroenterology	No	A139765	CA
2080P0206X	Pediatrics Pediatric Gastroenterology	Yes	MD19347	ME

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	25845 Barton Rd Ste 101 Loma Linda, CA, 92354-5300 United States
Phone Number :	909-558-3904
Fax Number :	909-558-3906

Business Location:

Patients can refer following map for directions to Khyati Pravin Mehta practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.